Individual provider · Type 1 NPI

Khallilah Gonsalves, COTA

Occupational Therapy Assistant · Davie, FL

NPI number 1003160672 Active

Practice location

6641 W Wedgewood Ave
Davie, FL 33331-2915

Call (954) 618-7333 Map

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X11778 (FL)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1003160672

Khallilah Gonsalves, COTA's National Provider Identifier is 1003160672, issued on Nov 5, 2012. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Davie, FL. The record was last updated on Nov 5, 2012.